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Volume 2, Issue 12, Pages (December 2017)

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Presentation on theme: "Volume 2, Issue 12, Pages (December 2017)"— Presentation transcript:

1 Volume 2, Issue 12, Pages 346-348 (December 2017)
Natural orifice transluminal endoscopic surgery salvage of direct EUS-guided gastrojejunostomy  Ramon Sanchez-Ocana, MD, Irene Penas-Herrero, MD, Paula Gil-Simon, MD, Carlos de la Serna-Higuera, MD, Manuel Perez-Miranda, MD, PhD  VideoGIE  Volume 2, Issue 12, Pages (December 2017) DOI: /j.vgie Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 EUS-guided enteroclysis before insertion of lumen-apposing metal stent. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 Distal flange of lumen-apposing metal stent after inadvertent intraperitoneal deployment. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 Small-bowel suction into transgastric lumen-apposing metal stent before needle-knife incision. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

5 Figure 4 Traction of second LAMS delivery catheter with distal flange deployed inside small bowel (arrowhead) into transgastric LAMS (arrow) to perform LAMS in LAMS. LAMS, lumen-apposing metal stent. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

6 Figure 5 Fluoroscopic view of second LAMS fully deployed within initially misplaced LAMS. Contrast material flushed through the gastroscope remains within the small bowel with no leakage. LAMS, lumen-apposing metal stent. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

7 Figure 6 Endoscopic view after deployment of second lumen-apposing metal stent, showing jejunal lumen and 2 metal stent meshes, 1 inside the other. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions


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